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0041 BODICK ROAD - HAZMAT
III. J 48420 P4 www.pendallex.com MADE IN USA 30%PcW CutLess® File Folder FEWER PAPER CUTS i yoF� ►ohs t Town of Barnstable Office:508-862-4644 0 Public Health Division Fax:508-790-6304 BARMASS. J 200 Main Street• Hyannis, MA 02601 .6M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT TED MAy �1 Business Name: /11m_a-to i �1^� ��' � S t&�_ Date: (� Location/Mailing Address: �l �' 136 6-�6bt Contact Name/Phone: - 3 - 9`6!6 Inventory Total Amount:,N� SDS:-T�> Ulp Aje License#: I-)D- Tier II: Labeling: ; Spill Plan: 'Yes Oil/WaterSeparator: Floor Drains: Emergency Numbers: yPs Storage Areas/Tanks: 7S6 671 It.S -9:4, 0"',v&-, Emergency/Containment Equipment: 4 ©Pd Waste Generator ID: All Waste Product: a; 1 Date&Amount of Last Shipment/Frequency: All t4 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: a LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the.Public Health Division. 1� Antifreeze Dry cleaning fluids —�- Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils ls �agl/er,P Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: . Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides L--� Battery acid (electrolyte)/batteries Ia- Photochemicals(Fixers) Rustproofers ` Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes —� Miscellaneous Flammables Cl P"-Yb e4-t Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: L V C I I a..,.-f- Z W0.tt,, a ( ORDERS; uecr, 6Vec�.i OY7 INFORMATION/RECOMMENDATIONS: Inspector: Facility Representativ . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °p1HE►°, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""MA.e% 200 Main Street• Hyannis, MA 02601 t6FMA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rf0 MA'S� Business Name: C04X Pw di Ce- Date: Location/Mailing Address: uh i Contact Name/Phone: `J =q F.1/2r O 0 ugl Inventory Total Amount: SIDS: Onhe, aC.Ce,� License tUac, CG 5- Tier II : ,� Labeling: l 1- Spill Plan: Oil/WaterSeparator: Floor Drains:�', Emergency Numbers:4��-- •Storage Areas/Tank �l C 16 for Emergency/Containment Equipment: SOS Waste Generator ID: aste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: o rpra Pi� LIST OF TOXIC AND HAZARDOUS MATERIALS ho r)a3Oi( C, NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws MA, hazardous material use, stora7and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids yAutomatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Mdraulic fluid (including brake fluid) Windshield wash Motor oils C UO Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides V Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INF MATION/RECOM ENDATIONS: �efy�Ce. �;1� c 1�h(ur`Shr.- '�(1(� ('r�m/►?P.n _e! `�nS Inspector: Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS ` 1 i `°F�He►°k� Town of Barnstable Office:508-862-4644 °� Public Health Division Fax:508-790-6304 BARNSTABLE. ' ryASS. y, 200 Main Street• Hyannis, MA 02601 1639. �p�FDMP�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C k t'��c�o o� ,,V* Date: S f 7 Location/Mailing Address: y l F deQ%G a.v%vi 1 s Contact Name/Phone: a t ov- r, fl -.S3 - cell/S -Z 2 S Inventory Total Amount: ^� W 002��-� SDS: ►w. o_e, 1 wtk4A- License#: Tier II : Labeling: a Spill Plan: Oil/Water Separator: IJ Floor Drains: t30 Emergency Numbers: Storage Areas/Tanks V.)j.- _o•1 �S`1' 1bS�9�-I �'01 e�aceSei �,Jafr�r� 0.1 �v^- Emergency/Containment Equipment: e7w A2, Waste Generator ID: k,.�-/ I Waste Product: Date&Amount of Last Ship men Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Vd 6y,k,&- o \),i/- +&V-7 v k«iw5 cam! e c,, >t 11\ oar! G��a� ovs was LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 11.1, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. t Antifreeze 14 q .4 S w�ski Dry cleaning fluids Automatic transmission fluid 3 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) to Windshield wash 6 kLt Motor oils 2.10 Oaykw-,t IV!rw"'s4-k Miscellaneous Corrosives Gasoline,jet fuel, aviation gas 1� Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages b � Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries a#to Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners y Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: VOLo t 0J .aw.tit, Inspec or: l Peg,. S•}2 j ,e ,ow 05 k S.p 1 4 ity Representativk. WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS `OFIME rpwy Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE. ' MASS. 200 Main Street• Hyannis, MA 02601 "�0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: caq-e- t-r46l AAA Serv%c..e_ Date: Location/Mailin Add ess• Y I F .80 Roe ! a►x✓1 ,s Contact Name/Phone: Ve ile,f5o 14, go t o - 5- - Jo D W1/ S8-Z1r 2- 5/5sue/ Inventory ento Total Amount: MSDS: License# Tier II : Labeling: b Spill Plan: 4'o bn5 Oil/Water Separator: K111A Floor Drains: Emergency Numbers: 161 A257t Storage Area \ e,N Emergency/Containment Equipment: Waste Generator ID: tb <"Cj16 Was roduct: nj Date&Amount of Last Shipme t/Frequency: v4 t v\ Licensed Waste Hauler&Destination: Other Waste Disposal Methods: l k� o\ o ,J�o LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze 1 vJatk-c--1,A Dry cleaning fluids Automatic transmission fluid 3 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 1� Hydraulic fluid (including brake fluid) Windshield wash Motor oils 1S vuCcgk� *'r Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners , Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: AA e. D Pam- Aoki We-INc<< C Lt S ""`• o Inspector.. aU � \b CtJ • �05k �llt P WA, i vl cility Representativ � WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IME A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BAR A�Le. • 200 Main Street• Hyannis, MA 02601 �OIFOnu+"039. �e� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: CA 11<\C-1 AA o Date: 1 lb q Location/Mailing Address: 4, ContactName/Phone: So$—,r3q -EDly cell ,�o8-2Pj2- Y5'S1 Inventory Total Amount: MSDS: me&6S License#: l� Tier II : a Labeling: OAK. Spill Plan: ll Oil/WaterSeparator: Floor Drains: ►. o Emergency Numbers: Storage Areas/Tanks: rUJA r 4, AA a5-k-t- o Emergency/Containment Equipment: e Waste Generator ID: -A-o C4. 115kL! Waste Product: 81 Date&Amount of Last Shipment/Frequency: o S'a�1 c-�r-I t-Z wlti5 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: D'Aa &-e LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Y Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION RECOMMENDATIONS: 1.4 6,Tfo -2 o J Ins ecto . Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE Date: S/ ► / 13 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Capes Na<bo! ,A ,,)-6 �e�'J��.•e- BUSINESS LOCATION q I -F 8,jt h Rz-, 14WAvio IS INVENTORY MAILING ADDRESS: ,Skfte- , TOTALAMOUNT: TELEPHONE NUMBER: Z-DO- �3y- 9Dl D �iKf f" ,N✓ee4"c CONTACT PERSON: 4,- ►mw bps' s� EMERGENCY CONTACT TELEPHONE NUM R: 50,6 -212- g6SI cell MSDS ON SITE'S TYPE OF BUSINESS: c✓�4,4- n 9 INFORMATION / RECOMMENDATIONS: s { Fire District: opvC Si <- 4on►5 Z a 4� Gc 6 .n-�s aK mr Srvla s 2wce•��•l •P�'1ox� Waste Transportation: �,�� Last shipment of hazardous waste�� Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum 3 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive CINEW ❑ USED Cesspool cleaners l Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) l Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 3 1 C'NEW 2 l USED SK141 A01- (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemlcals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) 'Z lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel j Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes &J05 7 S /3 Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Vila .I. Y • •' lti I L" / U Y '`,,gym r=1 Postage $ ), Certified Fee ")k e1 ni Postmark `�• O Return Receipt Fee �� r. p (Endorsement Required) ;.- Here, Restricted Delivery Fee - y O (Endorsement Requi•Arn m rU Total Postage&F m MR. RICHARD M.HATFIELD co Sent To ADVANCED BODY SCIENCE 41 D BODICK ROAD .............. C3 Sfreet Apt IVo or PO Box No. HYANNIS, MA02601 r` --------------------- ------------ City,State,ZIP+4 Certified Mail Provides: _* A mailing receipt A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. n Certified Mail is not avaiiable for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of, delivery.To obtain Return Receipt service,please complete and attach a Return I Receipt(PS Form 3811)to the article and add applicable postage to cover the I fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. © For an additional fee, delivery may be restricted to the-addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT,Save this receipt and present it when making an inquiry. PS.Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 l �xH OFFICIA USE Certified Mail Feeal '>Er 1 S $ � � : Extra Services&Fees(check box,add tee as appropriate)*; ElRetum Receipt(hardcopy) - $ C:3 ❑Return Receipt(electronic) $ _ I rr POStrt1�'trk, 1 : E:3 ❑Certified Mail Restricted Delivery $ C ❑Adult Signature Required- $ []Adult Signature Restricted Delivery$ V f� Postage - rr-i TotalPostageandFae R. MICHAEL HATFIELD $ ADVANCED BODY SCIENCE � Sent To 41 D BODICK ROAD Si�eeianilAjitiNo.;or HYANNIS, MA02601 i Ciry,�$t8te,ZTP+4e'�•• 1�•i��" • :rr •. r .� rrr r .: Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique Identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this- delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery[including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides —it for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the t^rI ■You may purchase Certified Mail service with signee to be at least 21 years of age(not --7 First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). _ of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on f" ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.0 you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion s of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply i You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.Z J electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTAN11 Save this receipt for your records. Ps Forth SSOO,April 2015(Reverse)PSN 7530-02-000-9047 a w ru rD Certified Mail Fee S $ PG., . Extra Services&.Fees(check box,add fee as approprlata)!' ✓ r ❑Return Receipt(hardcopy) $ r ❑Return Receipt(electronic) $ \`t��ostmark E:] ❑Certified Mail Restricted Delivery $ Here ' p ❑Adult Slgnature Required $ �` •� C `� ❑Adult Signature Restricted,Delivery$ Postage I- $ rq Total Postage and Fec DEBBIE JOYCE $ BEYOND BEAUTY OF CAPE COD rq sent To 68 CENTER STREET O S'treetApt.and No.,of •-••-' r HYANNIS, MA 02601 airy Sfafe,2IP+4�"` Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this- delivery. USPS®-postmarked Certified Mail receipt to they ■A record of delivery(Including the recipients retail associate. U1 signature)that Is retained by the Postal Service' Restricted delivery service,which provides —f, for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the - ■You may purchase Certified Mail service with signee to be at least 21 years of age(not 11 First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which~ ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified-4 ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent I with Certified Mail service.However,the purchase (not available at retail). 7 of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a I certain Priority Mail items. USPS postmark If you would like a postmark on - ■For an additional fee,and with a proper this Certified Mail receipt,please present your 1 endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for r-, the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion. of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply 1— You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IINPORTAN7:Save this receipt for your records. Ps Forth 3800,April 2015(Reverse)PSN 7530-02.000.9047 €f mU1 I• I �`5 t�h ''� ar.-' fa °r it ''`*,"''Y`°�',� � .,,:. Q • • I A• Q" Certified Mail Fee Er $ . Extra Services&Fees(check box,add fee as ❑Return Receipt(hardcopy) $ / 1 O ❑Return Receipt(electronic) $ 12 ce�§stmark" O ❑Certified Mail Restricted Delivery $ t °r -v Here ll- O ❑Adult Signature Required $ ! k�. 1`I []Adult Signature Restricted Delivery$ ! �C i O Postage [`- $ _ aV a Total Postage and ATTN-. R. MICHAELGHATFIELD $ ADVANCED BODY SCIENCE V7 Sent To a 41 D BODICK ROAD Street andApt.IVo.,c r` HYANNIS, MA 02601 G`ity State,ZIP+4® Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this . delivery. USPS&postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service— Restricted delivery service,which provides ,ti for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with Y P signee to be at least 21 years of age(not - First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent. with Certified Mail service.However,the purchasa (not available at retail). _ .„J of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark If you would like a postmark on •For an additional fee,and with a proper this Certified Mail receipt,please present your - endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. , electronic version.For a hardcopy return receipt, '. complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPORTAMP Save this receipt for your records. Ps Form 3800r Apru 2o16(Reverse)PSN 7530-02-000. 7 •__... COMPLETE •N COMPLETE THIS SECTIONON DELIVERY. ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. dressee ■ Attach this card to the back of the mailpiece, E. Received by(Printed Name) C. Del' e or on the front if space permits. Lam,. 1• !— l . Is delivery address differen m item 1? 10 Ye If YES,enter delivery address below: ❑No IATTN: R. MICHAEL HATFIELD i ADVANCED BODY SCIENCE 41 D BODICK ROAD I HYANNIS, MA 02601 I I 'II i isteredMajiTM IF s 3 Service Type El Priority M ail Ex press® Adult Signature gIIIIIIIfli P!i 11 IIIIIIIIIIIIIIIIIIIII ❑ dult Signature Restricted Delivery O Registered Mail Restrict ed Certified MailO Delivery9590 4116 8092 9363 33 Certified Mail Restricted Delivery Rturn Receipt for �! ❑Collect on Delivery Merchandise Number(T[ansfer_from tea`+ ^�-" —Delivery Restricted Delivery• Signature Confirmation^^ o ❑Signature Confirmation ,4995'763I j s 15; 3 1i Restricted Delivery Restricted Delivery L , ,dver$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt First-Class Mail Postage&Fees Paid USPS Perms No.G-10 I I 9590 9402 4116 8092 9363 33 I United States •Sender:Please print your name,address,and ZIP+4®in this box• I Postal Service " Town-if Barnstable Health Division 200 Main Street Hyannis,MA 02601 I � .+}^t t 11 t+1j Will 11 11,1 11dilt lf Jif ii i j I F Illi ffllt�i�jlf��'IfJl�i,1(�ff I, NAME OF 1114DE t 04. _ DAD �} TOWN OF -- ADORES OFOFFEN/ER }� n Dnn }M� 04 ity(C .)n �G e 9 > b �o K1 C. Gk BARNSTABLE CITY,STATE ZIP CODE �pk IME►p� MVIMB REGISTRATION NUMBER O OFFEINfE ;b,q. `erg V�o A-+I 0,&pm k !D `�.. r�fr� . 05 0� r- aL4t<44A 4 V�- 2��'cY.)�r�r�s 5 o P\ j f^t. i Vj t U U =S. V f L �Q��t LU L! TIME AND DATE OF VIOLATID LOCATIO OF IOLATION Z NOTICE OF l�' A. i .M.I ON t^ {, 2016 70G Ott 017 �' v J vd� VIOLATION SIGNATURE OF f'0 E SO ENFORCIN DEPT. BADGE NO. Lu OF TOWN J@►►Iyy��HERERY ACKNOW L DGE RECEIPT OF CITATION X a ORDINANCE Unable to obtai 'gnatur of.offender. ►a- THE NONCRIMINAL FINE FOR THIS OFFENSE IS i /'Q, GR Date mailed '7 I w OR YOU HAVE THE I LOWI G ALTEANATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. u.l REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:3U A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LLI before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. VIf you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST AUNSTABLE DIVISION,COURT COMPOUND,MAIN STREEETT BBARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ r ,. Signature NAME OF OFFENDER ,t H r, '� �! r IBAR 79807 TOWN OF ADORE OF OFFENDER BARNSTABLE CITY,STAB 4 IIP CODE Yl(! n ' �IHE fps MV/MB RIEGISTRAflON NUMBER OFFEN.SE �y/ / y J I'( / p J,}/� NAN\Sl'ANIJ:. t ( f V f f'8 b� l ll.lL �/r a pAe I Iq< /� �.l Uj d MASS.. t c rti' k p vL "ll �/� r f �{yi.•. 1�.:7 ^7 f Y(. 679• ,, r l O L�lftii�5,P c N)� r� G 1�f `yM �tr t y�Gar_, `> TIME AND DATE OF VIOLAT• N\ LOC�IONAF VIOLATION �/" W NOTICE OF �I 'Qi,�� XA.IM P.M.)ON 11 7—!. 20� 'l/ SIGNATURE OF°IENFORCINP ERSOA ENFORCING EPT. BADGE NO. C VIOLATION ,/�', �I t �-�{tire kn OF TOWN I HEREBY ACKNOWADGE RECEIPT OF CITATION X a ORDINANCE Lj Unable to obtain Sig ature o offender. � I THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ,Gl W Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu en REGULATION 1 You ma elect to a the above fine,either b Q ( ) y pay y appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legs!holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d �2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET, ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature CO ON ON i Coflete items 1,2,and 3. ' , ure ■ Print yout name and address on the reverse 0 Agent at due can return the.card to you. 0 Addres ee B. Received (Printed t g I' e ■ Attach this card to the back of the mailpiece, �} or on the front if space permits. �� J� 1. Articl�— — — D. Is delivery address different from ite 1? fO Ye If YES,enter delivery address below: 0 No I MR. RICHARD M. HAYFIELD ADVANCED BODY SCIENCE 41 D BODICK ROAD HYANNIS, MA 02601 r II I II'I'I IIII III I II I I�I I I II'II I�II'I�I�I)�II 3. Service Type O Priority Mail Express® ❑Adult Signature O Registered MaiITM+ Adult Signature Restricted Delivery ❑Registered Mail Restricted 1 Certified Maile Delivery 9590 9402 4116 8092 9359 23 ❑Certified Mail Restricted Delivery Retum Receipt for E�Collect on'Delivery Merchandise -i Delivery Restricted Delivery ❑Signature Confirmation"m 7 0 0 8 3 2 3 0 0 0 0 2 517 7 7 9 6 7 'ail Restricted Delivery ❑.Signature Confirmation I Restricted Delivery I 1—(over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt UP-? � � � First-Class Mail j r. Postage&Fees Paid USPS Permit No.G-10 i I 9590 9402 4116 8092 9359 23 United States Sender:Please print your name,address,and ZIP+4®in this box• Postal Service e - � - I ,�R� "Town of Barnstable Health Division 200 Main Street I Hyannis, MA 02601 I I l NAME OF FFENDER^ D A R 8735 I TOWN OF ADDRESSES OF OFFENDER BARNSTABLE CITY,STATE.ZIP CODE / a{IKE/p MV/MB REG TRATION N MBER OFFENS Ica S. !$ 1 A G RARNSTARIX. t t)Yt rJ '�l/.. .. d "�i t�'".�, ('a Y' t�.�1i1 C f �`�/11 fl1 F� z j f f a .,fe"ur G /lA' wo �� 0Au,�• ' Gt. �, rX• >< C N ,, , UJI> TIME AND DATE OF VIOLAT LOCA ION OF VIOLATION Z NOTICE OF : , LU t .i 9 1 PIK o n 'Zc� 20 1 AV4 #.) 606 SIGNATURE OF RCIN SON' ENFORCING EPT. BADGE N0. W VIOLATION ,� 4A 1 OF TOWN o IREBY ACKNOL GE RECEIPT OF CITATION X a ORDINANCE Unable to obtain Sig�at re of of ender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S , o� W Date mailed w OR YOU HAVE THE FOLLOWING AL ERNATIV S WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL 0— DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, ly before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2 Uyou desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST NSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNS TABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature TOWN O,F .BARNSTABLE BAR -W sOO1 Ordinance or Regulation. WARNING NOTICE _ .Name of Offender/Manager Address of Offender MV/MB Reg. # Village/State/Zip //�� t7 e f Business Name A th -e V(IL C-- am/pm; .on 7f l� 20 18 n Business Address ' 4 �C-�---- f Signature of Enforcing Officer -Village/State/Zip f � y l `�'t' ' , �M V 0-z (- o l r Location of Offense. ozv Enforcing Dept/Division Offense V' a�n. cl � Facts_ lb�.avt ��d � rc j � , � �tic.�iJ �tG tn�-� f,�1r � r� �r„rre_-- � t 'is This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education.efforts and warning notices are attempts to* gain voluntary compliance. Subsequent violations will result in appropriate legal action by,the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. TOWN OF BARNSTABLEjQQl Ordinance or Regulation BAR -W • WARNING NOTICE Name of Offender/Manager A' Y- " � `= Address of Offender MV/MB Reg._# Village/State/Zip Business Name -' r.►'� ' *- r, -#'�� r +t :' 1. {'� am/pm;' on 7 20 j Business Address �.- - Signature of Enforcing Officer Village/State/Zi.p 14 Location of Offense A f-, U n vi r . j )_- ..e l J/ 1-G 1 t r -t:-- e `- Enforcing Dept/Division Offense Facts.- s4t, [}v� r t Le i r r"•j s , This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve- voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices.are attempts-to gainvoluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. NAME OF OFFENDER I! i f�M BAR 78732 '1 r" TOWN OF ADDRESS OF 0 FENDER BARNSTABLE CITY,STATE,ZIP WOE t SINE►p� MVIMB REGISTRATION NUMBER OFFENSE/BAR NSI AN I.E. +' _ MASS.9• .� v It> +t�l/� �, )n — 7 �." I r P`J a t Y IK.Gt7e V- 4�Ml.!i vi .� ►"3 �Et f/. m 0 �►fD IMA W >• lit,!a� ���� M - f+ PLC a r 6111 +r .45 TIME AND DATE OF VIOLATION LOCATION OF VIOLATION UJI NOTICE OF (A.M./ P.M)ON ! 20 I 4I,1 .��� ��s. f SIGNATURE OF EN CING PE ENFORCIN DEPT. ^r BADGE NO. LLJ VIOLATION _ ,Z ; Cn OF TOWN 4� o I H REBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE JZ Unable to obtain sig ature of offender. . THE NONCRIMINAL FINE FOR THIS OFFENSE IS S 0 Date mailed 111 w OR YOU HAVE THE FOLLOWINGf ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LU before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, --1 Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature TOWN OF BARNSTABLE., BAR-W 1�2 2 8 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip ©© Business Name tJ�V�evit •� h. �l "�� r vtf u. �4 061 am/,,Pm;" on 20 57 Business Address ' F�` �r �t - , Signature of nforcing Officer Village/State/Zip 0 ,14 iAw ►N�i !� (�� „� 141 Location of Offense �'""`�yt<wt�.e„s<: i�c„�./ ��,,���,��, � �i G �� L Enforcing Dept/Division OffenserK0'rx_ r. (-#'E ,�, c�v`, ►r � et"+� �'S �+r� + A �I''a +�vr.�, "f� �CyLe� 1 Facts 0, A &6 0C'r�t �V1 G� t��'�f� �V�- d� C)IC 414 rCA' tD, This will serve only has' a warning. At this time notlegal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W M '" Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip f Business Name —' `V am/pm, -on_ "f l" 20 '� Business Address ' -' ' ' " � Signature of..Enforcing Officer 4 l ' Village/State/Zip Location of Offense Enforcing Dept/Division Offense : i '� MI�C•M'� { � y Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. opINETO{� Town of Barnstable Office:508-862-4644 �` ~� Public Health Division e Fax:508-790-6304 \A MASS. 200 Main Street• Hyannis, MA 02601 r t639.&�0 FOMP n TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: J&vt.C.eJ 180 5e►levt.Ce. Date: 9 6- lO Location/Mailing Address 1c4.�L-- Contact Name/Phone: Inventory Total Amount: SDS: License#: Tier II : Labelina: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochernicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ' ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS I `gyp 1HE rpw f Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BAR A A�LE.g' 200 Main Street• Hyannis, MA 02601 i639 e�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �fR�GvtG� _toy �e_�?_.✓1Ge?. Date: Location/Mailing Address: q( K-2d1 c-k koe , N\1 r�N vttS Contact Name/Phone: A, L.e_ PaJ4,<_1��C °A-772-a`''yI Inventory Total Amount: SDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: ----'---_.,,Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS t: pin 'fio Qurd4e, C�vance �( "ET Town of Barnstable d . O ' Building Department Services BARNSTAL BARNSTABLE, � 6 q .0� Brian Florence, CBO - �tEO Building Commissioner Office: 508-862-4038 200 Main Street, Hyannis MA 02601 Fax: 508-790-6230 www.town.barnstable.ma.us TO: Barnstable First District Court FROM: Sgt. Benjamin D. Baxter, Sr. DATE: Wednesday, December 19, 2018 SUBJECT: Request for Hearing Date I respectfully request that a hearing date be set for the following Town of Barnstable Ordinance/Regulation offender(s). Offender Name Contact BAR# Date of Offense Issuinq Officer Curran, Kelly R 80638 09/14/2018 Hall, Reid Chapter 94C-S32L- POSSESSION OF LESS THAN 1 OZ. OF MARIJUANA-- Offense: TOB REG 94C 32L Possessionof MJ (Cannibis Oil) Elliot, Mark 81516 09/24/2018 O'Connell, Timothy Chapter 54-3: (A) BUILDING AND PREMISES MAINTENANCE: Outdoor Storage-- Indoor items, such a s furniture, applicances, plumbing fixtures.and bedding, shall be kept within enclosed structures after 15 days. All other personal property shall be kept within enclosed structures or screened from public view after six months Offense: Failure to properly store trash/garbage per town regs Chapter 54-3 (A) Hatfield, Richard Advanced Body Science 79804 09/26/2018 Lavelle Tim Chap er 8: HAZARDOUS MATERIALS: 108-6: LICENSE AND CONTINGENCY PLAN --The BOH shall adopt reulgations from time to time specifying the hazardous materials which should be regulated by licensure. Specifying the quantities of such hazardous materials which shall be regulated by licensure and specifying the fees for such lic. Offense: Storage & Use of haz mat exceeding 25 gallons without a proper license per 108-6 The original copy(s) of Town of Barnstable Notice of Violation of Town Ordinance/ Regulation are attached. Thank you for your assistance. Page 1 of 1 v `°F THE rokti , Town of Barnstable Office:508-862_4644 Public Health Division Fax:508 790 6304 'CBARNSTABLE. ' \ MASS. 200 Main Street• Hyannis, MA 02601 1 6 39 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MA'S /I Business Name: dc,vu 000ell Date: 6 7 Location/Mailing Address: 41 ,e W, RZ /�� a►1✓1►S Contact Name/Phone: �� �SO — 7"l8—� `-✓1 a k- Inventory Total Amount: ,, I_I SDS:Mb S vuAd`fi vpAA+ticense#: MA Tier II : o Labeling: `e 164-\ 1fvvKh 1 Spill Plan: 0,4 Oil/Water Separator: Floor Drains: o Emergency Numbers: 'u rN- �`L Lt b�l Storage Areas/Tanks: 2�3oD 4a.l+ t- 1 e�a a1 Pc`�'Co A.LO e, }'jj o p g ,� wws�l�c.0.1.��,,),� ,,��b ,��,,�,! i,00 4 aL Emergency/Contain m t Equipment: 1'4' Waste Generator ID: Waste Product: o ��,��e� Q_ Date&Amount of Last Shipment/FrequencX: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. ✓ Antifreeze Dry cleaning fluids y— Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) v/ Windshield wash — Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �— Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants � Degreasers for engines&garages Pesticides: — Caulk/Grout j�,Jki-/ insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine �— Paints, varnishes, stains, dyes Lye or caustic soda �— Lacquer thinners — vw / Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: DV� ORDERS: 13L e,9Q%Zr,1 #_NJJ&J v�.,Ze. S 40 jL u. 1,0 hso -1, a, \ a,l l et r Lkvv.5 INFORMATION/RECOMMENDATIONS: 5 S a o , c,D ,iIAAtA- U -�' 0 f�i► �avtS 1%kk-o oaOc Ott +G,vt,1.G Inspector: yZ f-1 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS L Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science 41 D Bodick Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scali, Director {� T 8,B"R`''S`AB'E' MASS. Public Health Division � B ANSTAB LE� A 1639. 0 pAH S'AOLC•CCNitiRi'ILLE•WN I•-Ir itii5 � w(. MMSTpNS YLL'S•GStE0.:LLE•:ST 2A^JiSfaBIE ATEo""°+A Thomas McKean, Director V '6��g4 200 Main M Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-700-6304 IV ram• APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st—JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 _ A late charge of$10.00 will be assessed if payment is not receive b July 1st. 2 ASSESSORS MAP AND PARCEL NO. DATE 8 2 J I'o FULL NAME OF APPLICANT: Cc'�AJ?D O Pl•( C- NAME OF ESTABLISHMENT: C f, 060 C l e C ADDRESS OF ESTABLISHMENT: MAILING ADDRESS (IF DIFFERENT): p TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: a4/ � `' /f / G6,. C'�51' SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADD S,AND E P ONE#OF: CORPORATION NAME G Z' C4C C' PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SI O I ANT Name: Company Address Telephone#: Email: Q\Application Forms\HAZZAPP Revl6.docx Page I of 2 `°Ft►w*ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 M S& 200 Main Street• Hyannis, MA 02601 \\�F1639. `e TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: V_VAVtLZ/,fv o56W66 Date: Location/Mailin Address: y I ISIA clt. Vzoe n4l5 Contact Name/Phone: 2 " 11� SDS- '7 -S� 1 2 Inventory Total Amount: �' � 0 A,l MSDS: e 5 _ License#: 2 09 Tier II : NIA Labeling:.AF Aoek tkLo`j ��wl�' Spill Plan: `�ca, Oil/WaterSeparator: tPc Floor Drains: o Emergency Numbers: Storage Areas/Tanks:9,- o 0 a1 I I-r bS al AK6- n_ o, l oo ga I P.12. Ag I Zoo 1a j tP tJ. Emergency/Containment Equipment: ,-6 t t-e, — fZ E L is E \X raste Generator ID: Waste Product: L' Qate&Amount of Last Shipment/Frequenccensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze b Dry cleaning fluids t Automatic transmission fluid to Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ^ - Hydraulic fluid (including brake fluid) �DD Windshield wash rt,00 Motor oils gt'Sts_�boo k tt, Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 10 Miscellaneous petroleum products: MN\o Road salts �00 ID grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/GroutP-11"u insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) _I Car wash detergents ID kID Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine 00 Paints, varnishes, stains, dyes IoO Lye or caustic soda 1 o Lacquer thinners 20 Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" 6 (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ` C,-,JVf- ook av&-k e dk-t, csk 2, \,ki �evL ►_cov,4-akiv-t.<ag �q0. b ka-^< oor g ORDERS: 0. Co ie.G a \0a.gk-e_ mow% e-A5 al 2.of - Z.016 p CoK.�-a t v o r5 4LAA D c l q A i-I P e> . INFOR'MA ION/R OMMENDATIONS: .X�L o 1 o vStvteSSeS �) CS o YJ-� �J2C1/1 spector� cw;l O.�lr C`05a/C4Pj'),&td6A_Facility Representative: �® \vt...v . , 1`5 DSR—Ok ctl 1vt J►'l. WHITE COPY- HEALTH DEPART ENT/CANARY COPY-BUSINESS P I Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science 41 D Bodick Road, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Q Oa Il , °FTHE l Regulatory Services °�. g Y Richard V. Scali, Director * BARNSTABLE, * !'.J 3 MASS. ision � 039. ♦0 ; pTfDMP�A Thomas McKean, Director 1 200 Main Street, Hyannis, MA 02601 �k Office: 508-862-4644 Fax: 508-790-6304 r' Application Fee: $100.00 ' ASSESSORS MAP AND PARCEL NO. (/ DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 1II GALLONS OF HAZARDOUS MATERIALS I � t FULL NAME OF APPLICANT Vj �l� (� P LL, r / e NAME OF ESTABLISHMENT 1 CC LL ADDRESS OF ESTABLISHMENTQj TELEPHONE NUMBER 5(3 � 7 7 0 L SOLE OWNER:_C YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME RES OF- / PRESIDENT oC�'-Vt TREASURER r CLERK • SIGNYtRE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# , )?59 77f?,53 97 J:\HAZAPP.DOC a��T Town of Barnstable Office: 508-862-4644 .� Regulatory Services Department Fax: 508-790-6304 Hnxtvs7rnHM- Public Health Division Mom. Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt ,Hazardous Materials Payment received: $110.00 (Cash) on 9/9/2015 Permit number: 209 I ! 'Business: Advanced Body Science Owner: RICHARD M ;Address: 41 BODICK ROAD, Hyannis !Note: renewal i �pFTlo,.. Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 (BARNABLE.g! 200 Main Street• Hyannis, MA 02601 t639 '`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MP'+ Business Name: V 'go I Tr- Date: /� Location/Mailing Address: q t !30 4✓1►?r Contact Name/Phone: e- �ie- �'fl -77"- SS I Inventory Total Amount: MSDS: ye-S License#: Tier II : t4 o Labeling: OK Spill Plan: e5 Oil/Water Separator: MA Floor Drains: IJo Emergency Numbers: Y4S Storage Areas/Tanks: NO %w Vol ,-V, q111-1 r 4 Emergency/Containment Equipment: to s/4 A Cya-,14le— a x,S r�� Waste Generator ID: MV SD -17S I Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 1i mg c LIST OF TOXIC AND HAZARDOUS MATERIALS No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laof MA, hazardous /material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, nn hydrochloric acid, other acids) VIOLATIONS:4-(.A1 V ORDERS: 2,(dyl. aJQ,S �Lyte-w INFORMATION/RECOMMENDATIONS: o�nA vo ate\ck I-,n aqp_ Q 0.cA-vV_X_ %k % k \ ° to 'C -V C co A- o JokkAa< V Sir 1 — CA Q .C��S ®��2.c•�C�aw �a./ Qls�.�y,Q (,oyy Co �-�/ Inspector: LAi l kZS�" In9A 8�c� +nn d.K.�Z�.k c �- �cvYrc(��• / Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS yor� ►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 MASS. BLE.g` 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ace o SC-1 e-Kc Date: Location/Mailing Address: 14/ 0o , 4,4 o,s Contact Name/Phone: c UohvL AJxpo ea►ti - rKsP Inventory Total Amount: ^"12oC q-J MSDS: L Qicense#: ;209 - -CX or"k Tier II : M o i Labeling: O Kv ill Plan: *_5 � l" Sp Oil/Water Separator: N ,A Floor Drains: 00 Emergency Numbers: L S Storage Areas/Tanks: a*0rVJJA f wi-'s + s,ual dt<y w-%1 CM--_ ova .5 Ane- Emergency/Containment Equipment: ;2.- oo is l -lwri&l A1,V_moo,\,, 2Sb gat A51 w&iA-e ( T \n)pJ,,9-c- �"10S S4 1 Waste Product: o� 2°�''q�l Waste Generator ID: Mv�D / Date&Amount of Last Shipment/Frequency: 6 12 ,y I-2 5— a,� Licensed Waste Hauler&Destination: -Z-363177'7. Other Waste Disposal Methods: %,Ao 4,m u )U--C4 #� wa'�t8 n�v.kF,,( P�14�aoca�t� �•-cotloe*1.,V.t Z's 05A- , -I LIST OF TOXIC AND HAZARDOUS MATERIALS ►Jo Wl.a I �v��1�M�Gosy oi�C2 (06+ 1 w' NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, S1921 13 storage and disposal of 111 gallons or more requires a license from the Public Health Division. / J Antifreeze Dry cleaning fluids J Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 4— Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) �— Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: 1Pos-kt,Q , ORDERS: J5- i I Cv<,r4 aac�Qjw6 Metie-,,0 t, l i Z,_ t,5&, INFORMATION/RECOMMENDATIONS: a vct-0.1\ '�tl M --MkA\\&A_,rS Ct<,,'- 1 toe 1,e It�� c a kL i C%\A_ U_ °w Lo i_Oil 0-"2 irc95 or *Sa Inspector: �� CIo`i._k k%,bask-V� U�a`'y�/ 3 Co�'��5 K$ ���pl��h Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOWN OF BARNSTABLE Date: 8 I.Z2113 TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: o GIei4C.EP, BUSINESS LOCATION: `f 1 t4Vjhrt/S INVENTORY MAILING ADDRESS: SavwA__ TOTAL AMOUNT- TELEPHONE NUMBER: 508 - 7-79 - SSyf I A- /20� qa f CONTACT PERSON: /01 V-4, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: J o �o�Q �ho a ,�•I-e Q �e5 INFORMATION / RECOMMENDATIONS: �� G'v�<<nk �Gev/s� a,0pl,cc. io►y � Fire District: ` has be&A- e-zvt*, `9 a,i rt I s 2. o wC2v V J JrLA Co a✓l S 12eA 4 f �- ov' >L V l 3) - 'r ,ram+ v 6 4 ✓ 4er 0-1t9XJ0-- Waste T " ` `NI✓�8367/359 Last shipment of hazardous waste: 8J1 13 Name of Hauler: Destination:Ot Kgr4-4 WemollecV. RBI 4� 4 Waste Product: 44AC.Z o 0oo g(63(o la 1AA44E_ p,, Licensed . e No :5?AD NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides r3 NEW 769Q USE,,g�i 6nDZso (insecticides, herbicides, rodenticides) as°o9Cie'Jet�uel'Aviat aszso f A a+<- Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals.(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, 10 Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) yp Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes I S� WD e yk¢��Vl a� 4KP— Laundry soil &stain removers (including bleach) ,005•1 + (SD,/) a b64 6 afe. Spot removers&cleaning fluids I i .� (dry cleaners) g lki 4614-- D✓1,�6►-��, T lQy►1(yl��� Other cleaning solvents ��"" Bug and tar removers l,U�la�e.'I-S o✓t 614tl Ij + I►t-U�. Windshield wash Zoo I&I WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staffs Initials !� vs -W `oF` a►owti Town of Barnstable Office:508-862-4644 g -, Public Health Division Fax:508-790-6304 • BAR;ABLE.g! 200 Main Street• Hyannis, MA 02601 '0'EDMIR TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ��, Date:-2 - 181-a0 Location/Mailing Address: Contact Name/Phone: S -7 7 SW �y4 Inventory Total Amount: Cs' SDS: 4e-s License#: Tier II : Labeling: W; 1 1'�c► �,,r- Spill Plan: S t�r.�J W&W Oil/WaterSeparator: Floor Drains: Y Emergency Numbers: ►�a Storage Areas/Tanks:/ I 6o`T ! gs Emergency/Containment Equipment: Waste Generator ID: 00 Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 62c"r_ 0 j - ' �.�� �e r �-c esot e4- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) r/ Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: Via-, � �.� �G c��►Ys-s- ORDERS: 9i,; -' 3 d.. Of INFORMATION/RECOMMENDATIONS: alleiR Inspector:e e� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOWN OF BARNSTABLE BAR-W 6000 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager R�chcel Address of Offender MV/MB Reg.# Village/State/Zip �qmnklsl& _ Business Name A&Ckoa�_C1 TSn ,nf_Q pm, on 20_1,p Business Address O I Wil(IT Signature of Enforcing Officer Village/State/ZipHqckm',,�, AA, oun i Location of Offense V sc�Mcko' {� En orcing Dept/Division Offense I:Af io I�CQine 802 11C &AU j�sP� i Ct� a Facts 10wi) 0j !RW'n P, - C()keo,— (4VA 1�-C • /' & CDy 4 W: 1(1 wM This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by'the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. i/ Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science 41 Bodick Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------- ------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health l Town of.Barnstable oFIM Regulatory Services °- Thomas F. Gsiier,Director Public Health DITision ?�nary Thomas MdCean,Director 200 Main Strut, Hyannis, MA 02601 Olnca: 508462-4644 Fa;: 508-790-6304 Appiicalicn Fes: $100.00 ASSESSORS IYIA.P AND PARCEL NO..A3 f 010 D A m L) DATE 7 hj APPLICATION FOR PERT)ET TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HA-Z QUS MATERIALS FULL NAME OF APPLICANT ( � -ARSE OF ESTABLISIUY i'T "Sc ADDRESS OF ESTABLISIE ifi+,T7T L� C �6c V C. TELEPHONE NUM3ER 668 / 78 SOLE OWNER:4 YES NO IF APPLICANT IS A PARTNERSHrP,FOIL NA IF AND HO I ADDRESS OF ALL PARTNERS: � o , °T C) ea 17 APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 6q33 1439( m ti,,9 r-- STATE OF INCORPORATION 1� F'UL.L NAB AND HOB RESS PRESIDET TT D TREASURER l CLERK K 1 ATURE F APPLICANT RESTRICUONS: HOAU ADDRESS A04111, HOAff TELEPHONE# f Hal-doc/wp/q Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science Q 41 D Bodick Road, Hyannis, MA Is Hereby Granted a License For:"Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------- -- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. -------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 03/29/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health k' I`n°pectionaaf Services p'IKE 1 Public Health Division .�. m BARNSTABLE = , • i • AEL W4SE-W1-1LLE-MMT•MYk N5 a "j BARNSTABLE Thomas McKean, Director MRVON5 HILLS•OS RWLL!•Vi 5i 9AFNSf.AtlLE jX� y MASS. 1639-201*4 FATED 39. a`0 200 Main Street, Hyannis,MA 02601 3775� N) w..6 Office: 508-862-4644 Fax: 508-790-630410 ri APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER Id$, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 X-1 L&kjap *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3A#4- 000-- cop 2. IS THIS A PERMIT RENEWAL?�YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)?/ YES NO. 4. FULL NAME OF APPLICANT: v lc "Ale, o 5. NAME OF ESTABLISHMENT: C nn ,p e 6. ADDRESS OF ESTABLISHMENT: Od�iC 4� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: , - YES NO IF NO,NAME F PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT DATE zz Q:\Application Forms\Haz Mat App Revised 09-10-18.docx r Town of Barnstable Office: 508-862-4644 ,. Regulatory Services Department Fax: 508-790-6304 w ■nn�tE. Public Health Division Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $160.00 (Cash) on 3/29/2019 Permit number: 2018-2019 ,Business: Advanced Body Science Owner: RICHARD M HATFIELD � Address: 41 BODICK ROAD, Hyannis ;Note: Permit Expires on June 30, 2019. Category III Permit $150 plus $10 Late Fee i • • °Fig rok1 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. ' v MAC. g 200 Main Street• Hyannis, MA 02601 165 9. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MA'S Business Name: 56eDUJ Date:—nullIgt Loca_ion/Mailing Address: a Contact Name/Phone: Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator. Floor Drains: Emergency Numbers: Storage Areas/Tanks: l Emergency/Containment Equipment: '' Waste Generator ID: Waste Product: a Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: CJeAn _ A i �M. LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ydraulic fluid (including brake fluid) Windshield wash Motor oils V Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners - Aiesel fuel, kerosene, #2 heating oil Disinfectants iscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Miscellaneous or caustic soda Lacquer thinners Miscellaneous Combustible aint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/R COMM NDATIONS: 1 Inspector: IL j�d Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Town of Barnstable 7/ °FSHETo Regulatory Services ' 3775 Thomas F. Geiler, Director ��dP BARNSTABLE, y MASS. g Public Health Division 1639• AIB0MA�A' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 I ASSESSORS MAP AND PARCEL NO3��'DSO ©A DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C.�1 ^rd1 )A<;Ak -\ k NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT l-{ C 1 PA - Ac.,c rn S ` 6 I TELEPHONE NUMBER J—V O © -� ( _ SOLE OWNER:5ZYES NO UZI & ,• IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF 1ALL 'A PARTNERS: �F e � � IF APPLICANT IS A CORPORATION: FEDERAL-IDENTIFICATION NO. J STATE OF INCORPORATION FULL NAME AND HOME WRESS OF: PRESIDENT ,h, TREASURER tt CLERK lL r • SONkrURE YAOPPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# , q Haz.doc/wp'q S Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science 41 Bodick Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------- ------------ ----------------------------------- --------- ------------------------------------- ------- ------------------------------------------------------------------- --:----------------- ------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. - ------------------------ WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Barnstable 4 -WE Regulatory Services Department I ftnicac" • Public Health Division SMASM AAA 200 Main Street, Hyannis MA 02601 1a3F• �� m 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �� C��.�C Ck YY\ NAME OF ESTABLISHMENT A y yh Ltd Q 6 A V ADDRESS OF ESTABLISHMENT Ll 1 bek; Ct, . to jc\r );S t m{A oaw, • TELEPHONE NUMBER SOLE OWNER: ✓ YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ,'� --a . 5 I} V Q g y. IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.¢DV 43v>�ZC� STATE OF INCORPORATION SEEM hn FULL NAME AND HOME ADDRESS OF: PRESIDENT , ,9T�1��e /D/����S.st�e �� /���/yir//S , , �► Da�o/ TREASURER CLERK �r SIG RE APPLICANT• RESTRICTIONS: HOME ADDRESS ZD/ IeAw s 6 .0e ��/�A/i /ate HOME TELEPHONE # ,SQL Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $100.00. Town of Barnstable \p Board of Health This is to Certify that Advanced Body Science 41 Bodick Road, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009. unless sooner suspended or revoked. ------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,,CHO Director of Public Health f Town of Barnstable Barnstable Regulatory Services Department tL4RN3[ABLE, : Public Health Division 9� HAS& 200 Main Street, Hyannis MA 026011639. m , . Z�b7 Office: 508-8624644 as F.Gei Diree3tor FAX: 508-790-6304 Tho A.McICcan,CI ._3 W Application Fee: $100.00 -_ ASSESSORS MAP AND PARCEL NO. 4 6$0 0o — DATE W I'I 1 3 4 OF APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT k C,\r\cnC4 (n % o�&� NAME OF ESTABLISHMENT J d'J 6\h C Q d Q Oa ,,, S G % Pn c2 "Sn C, ADDRESS OF ESTABLISHMENT P OA;Gk hl'� TELEPHONE NUMBER SOLE OWNER: AS NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION Ch P►SS FULL NAME AND HOME ADDRESS O PRESIDENT TREASURER / doZb3a CLERK UR V OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# 56 $ 7791 55el � t QQ\Hazmat�Haz Mat Application2008.DOC ADVANCED BODY SCIENCE 41 Bodick Rd. Hy-annts,,,MU 02601 (508)778-5541 FAX(508)778-0829 Complete Collision Rep'Wr&Restoration SPILL CONTINGENCY PLAN Contact person.'Richard Hatfield 508-778-5541 Spill cleanup materials located in shot). Emergencies dial 911 Hyannis fire department: 508-775-2323 or 911 Hyannis police department• 508-775-0387 or 911 Local Ambulance: 508-775-2323 or 911 National response center: 800-424-8802 Clean harbors: 617-849-1800 or 617-935-9066 Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science 41 Bodick Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------- ----------------------------------------- -------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 1/1/2008 PAULJ. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Number Fee 209 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Advanced Body Science 41 Bodick Road, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. July 11, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable - _::.�. Regulatory Services Thomas F. Geiler,Director I V V Public Health Division Thomas McKean Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.3 yy O 9-6 -M9DATE 7 v 6 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I11 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT A011A VCFD 66A YSc i 4i c no ADDRESS OF ESTABLISHMENT 1// ja i G w« TELEPHONE NUMBER �O SALE OwNER:_YES NO .: <= IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL I PARTNERS: i eU � �l I IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04f.3"395 STATE OF INCORPORATION M A . FULL NAME AND HOME ADDRESS OF: n PRESIDENT (;cG ,/� a � / llk�jC� r, PbSJ `aM TREASURER Q •c L•cv CLERK 1`C a _et l SIGNATURE OF APPLICANT RESTRICTIONS: HOINIE ADDRESS HOME TELEPHONE.# �SOk-y?is - 14/07- Xas..daa'wp,'c, I T" MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,_NU 02601 FOR FA3MD REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any tem above, call (508) 862-4644 Back to Main Public Health Division Page TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. PARCEL N0. 3 ADDRESS OF TANKS `uce �- VILLAGE: Ivu f6 1000ri Ytr��t MAILING ADDRESS ( IF D I FFEREhT FROM ABOVE) : S NZu► t� A1! S �Q i )Z % OWNER NAME: LI(Ift°�L7 - /'1� j `s.r PHONE: if� q7J✓ /y6 INSTALLATION DATE: B1(yi INSTALLER ADDRESS: � . �� � -CERT.1-JO. 1 *TANK LOCATION: f Dei�R Z at ANK LOQAT Z CiN W F`T COPaCT TO •U 2{� Z O ) CAPACITY J�dfzlTYPE OF TANK L ezncL AGE _YRS FUEL/CHEMICAL L i TESTING CERTIFICATION [ ] 'PASS [ FAIL DATTE LEAK DETECTION C I CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ I YES [ I NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED YES C I NO DATE 2 l CONSERVATION [ ) CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ /VV I DATE * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS &ARD — C(Ile Cl f I ' a a _ m The Town of Barnstable m.e N — a Health Department 1 367 Main Street, Hyannis, MA 02601 .; �r Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 0 Director of Public Health t December 20, 1993 Mr. Jack J. & Sylvia Furman Box D Hyannis, MA 02601 Dear Mr. & Mrs. Furman: Our records indicate that you have an underground 1000 gallon #2 fuel oil tank located at 257 Main Street, Hyannis. You are directed to remove this tank on or before January 27, 1994 . You must first obtain a removal permit from the Hyannis Fire Department. I have enclosed tank information for you. You may request a hearing before the Board of Health if �- wrkU en petition requesting same is received within seven (7) days of receipt of this notice. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health k i' i i t L FUEL STORAGE TANK RECDRM-.�-3 -t MAIN ACTICIN C' Action Tank WTV iSta 1 12CI ) Locat ion ----Notification bates--- 72St 7whandoned— -- Ramoved Variance - 1 0 5 2 6 9:-`:� Fuel Reason Capacity Constr Status Leak-Det Cath-Det F13 hi 500 Additional DMWIS 600 BLDG,. .....mv. ------------------------------- ---------------------------------------------------- Action Tank: Nbr Unammed—I cation ----Notification Bat2S------ 2 QD10373 19 Test R e CITIES? "--�wAgWndaned-- -- RMOVed Variance Fuel Reason Capacity Constr Status Leak-Det Cath-De t. - FC'i it-I 500 S-S Additional 02tailS Cam&' END OF DAY''i NEXT SCREEN HMENU ACTIOr-4 PARCEL NBF.- II ,Pao Il E PEOPE077 Sul, STREET ADDRESS OF PROPERTY BEING SURVEYED; 25 9IN STREET — HYANNIS ,p 327 / PARCEL 127 OWNER : Jack Furman / 180 Riverview Lane / Centerville ADDRESS PHONE: i OCCUPANT: HERITAGE HOUSE PHONE; 508-775-7000 ADDRESS 259 Main Street / Hyannis PRESENT FLAMMABLE PERMITTED STORAGE AT PROPERTY; TANK - PRODUCT LOCATION AGE CONSTRUCTION - 51 ZE (GAL) 500 gal. 2 fuel oil Underground i 1974 Steel (600 Bldg. Left of main entrance behind F7rMTffM-- 500-gal. # 2 fuel oil Underground 1973 Steel ( 500 Building) TANKS REMOVED FROM THE PROPERTY; � TANK PRODUCT LOCATION CONSTRUCTION DATE S 1 ZE (GAL) REMOVED NONE REPORTED SPILLS / LEAKS AT THE PROPERTY; DATE: MATER 1 AL AP PROX. SIZE OF RELEASE • NONE REPORTED NF3R1'1A i iCN PQCVIDES 6Y; DATE 3/12 97 "HYANHIIS FIRE P a`�8 NTIG HYANNIS 95 HIGH SCHOOL RD. EXT HYANNIS, PEA 02601 Al0,-. e r _a.c w"4olc � f t .f L ---it �� ;� __- _�.� ____.______� e �, ' .' � {� k' _••- yY -- -_ ____ � _ =---+++---- � -- . . 1'1 ii li; �, 'FF IIi� is i fi - �� t�' .�.,.. !`` li 1� '�,� ��1 - --— t+ I�� ---rr ,� +----- ,i tl Et _�_ i; i; +i _� T �'j'T t' �� '�� { W._�.— �) ,: i t oF�Me roN Town of Barnstable Office:508-862-4644 as Public Health Division Fax:508-790-6304 BARMA�BLE.$ 200 Main Street• Hyannis, MA 02601 t639• MP'�a TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Woor Date: Location/Mailing Address: Contact Name/Phone: PP Inventory Total Amount: MSDS: `'l1 License#: � b Tier II : , o Labelina: Spill Plan: � 4 Oil/Water Separator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: S A Emergency/Containment Equipment: aste Generator ID: Waste Product: fir) elS Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: or LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils V Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners -7-Miscellaneous Combustible aint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/REC MMEND ON ' `Yl AT h S Inspe Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 � Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES .-------------------------------------------------------------------------------------------------------------------------------- 41 Bodick Road, #E, HYANNIS, HA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------- ----------------------------------- ------------------- ---------------------------------------------------------------------------------------------- Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ~, Town of Barnstable Inspectional Services BARNSTABLE .. Public Health Division^.'aB E•EM39-20 4 U •FY4kh,5 u«, K�.0��,�-4,�I � E 1639-2014 I R►arMBM = Thomas McKean,Director u; MAW �'iOreo s`� 200 Main Street, Hyannis, NLA 02601 r? Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE r, HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 VVkr CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ P d *A late charge of$10.00 will be assessed if payment is not received by July 1st. 2�3 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?-�L YES_NO. IF YES,SKIP QUESTION 3. • 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTIgTIES(25nGALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 1��� ( 6. ADDRESS OF ESTABLISHMENT: G Lk k —62 W dC 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: �01? , K Cl 9. EMAIL ADDRESS: -4A Milo �q n I/(' ('.�_�' �i� (i.( � ��/)m 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#QF: CORPORATION NAME EA b4 ro �w SA t LA 1 ?7 M AI ul S, PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANTa DATE 10 -(, 1 ' GU?f ) QAApplication Forms\Haz Mat Appli Draft Jan2019.docx IKErohL Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 CRARMASS .. 9! 200 Main Street• Hyannis, MA 02601 �rF0 3 A9. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: c �� e i9c.4b Date: T Location/Mailing Address: t tr 0 Contact Name/Phone: • '�`7 s S e'9 0r,-36&- ,4 Inventory Total Amount:_ MSDS: o1n %J� "-Ze License#: 10i ai Tier II : YV Labeling: thh Spill Plan: ()� 2 Oil/Water Separator: t�Floor Drains: Emergency Numbers: QzateJ Storage Areas/Tanks: Wfi.sir Emergency/Containment Equipment: 1p,tii 9P,r1,0, Waste Generator ID: )10 Sd' 271 1 S 47 �� Waste Product: Date&Amount of Last Shipment/Frequency: 2 l Licensed Waste Hauler&Destination: Other Waste Disposal Methods:- is v r ri 49,r� y„ LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and isposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids '/ Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers L-'�Hydraulic fluid (including brake fluid) Windshield wash ✓Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals (Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes ye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, �a hydrochloric acid, other acids) VIOLATIONS: �eAnl ORDERS: c INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: Ac WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS t INE rowti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 C RMA,'; � 200 Main Street• Hyannis, MA 02601 1659. v�ArFD TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: C- A• A • Co mD WA;e- o e cv,c zS Date: -s 3 /7 Location/Mailing Address: q1 E o ,`k ►Q anal i S. Contact Name/ hone: !a.�,v ��1 Vag-- Sad�'T71- l�'�Z Cell l ��-3F,o -yZqT Inventory Total Amount: �" o SDS: License#: Tier I[ : o Labeling: DA-0- Spill Plan: Oil/Water Separator: 1J `A Floor Drains: Nyo Emergency Numbers: Storage Areas/Tanks: AA W"tL®,I A5 i Emergency/Containment Equipment: Sv<\uAk �.dzs o•ti `'•�`- Waste Generator ID: M\Z<08'1-1 I I01 Waste Product: o Date&Amount of Last Shi ment/Fre ue (v ��h ,140(a 1? /+ - Z x 4a'It k s o,c 1-/2i Sg 4-( ? Licensed Waste Hauler&Destination: e-i — D,/ 6,t, Goue-cy Other Waste Disposal Methods: , 1 15 b17< ovt , ,e. w L- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. l Antifreeze 1� Dry cleaning fluids 1. Automatic transmission fluid 1r Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) 3 Windshield wash '�- Motor oils 2.6 - - yt s Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative:-Q ix ! Ji Jw/ WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °FIKE►oq� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 �BARNSTABLE. \\ MASS. 200 Main Street• Hyannis, MA 02601 1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CEO MA'S a Business Name: C, A, R. 'A0 5Z<J%",5 Date: Location/Mailing Address: I !; o L CAC av-,V��5 Contact Name/Phone: \V A- D - I I 3 Ce. 09 360- Z 1 GX l Inventory Total mount: ^'�Z J �� MSDS: "`�- License#: Tier[I : a Labeling: m Spill Plan: Ye 5 Oil/Water Separator: N Ila Floor Drains: IQ o Emergency Numbers: 6v Storage Areas/Tanks: c>A A,k A- Emergency/Containment E ui ment: S •I I o too o T Waste Generator ID: V 1 Waste Product: e Date&Amount of Last Shipment/Frequency: I-2 Licensed Waste Hauler&Destinati : Other Waste Disposal Methods: Z"r- V\0k OAa-A"a -,e.- < LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze� Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils �ti v>k5-k4- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners -� Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: oe Road salts 1 grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Cn b at o q�11� Inspecto l . LAv,4\L Facility Representative:-Dix WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Ak \ �\ Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES - 41 BODICK ROAD, #E, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN - PAUL J.CANNIFF, D.M.D. 07/10/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health a L� •r r Town of Barnstable Regulatory Services • ~� Richard V. Scan,Director ` M ` Public Health Division Ec► Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT E-oUb NAME OF ESTABLISHMENT �o •I� �1 � Je�'JZ�G� • . ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER Jog`''71ajJ SOLE OWNER: RYES NO ,I IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: r IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Mcwhe\Temporary Internet Files\0LKD3EAZAPP Rev2015DOC °rT Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B`"M�LE.� 200 Main Street• Hyannis, MA 02601 �'DrFD M1p`y s�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: . ►c-eS Date: /6 / Location/Mailing Address: q! E ,9 a n A c S Contact Name/Phone: -5c2-b.o S,l e,-- Inventory Total mount: ^-30-0 ActI MSDS: Ova/ice�cess License#: Tier[I : o Label na: /tI fo /4,00-MV- Spill Plan: Ye,; Oil/Water Separator: _ Floor Drains: IJ o Emergency Numbers: Z 5 Storage Areas/Tanks: o d �k-v, Emergency/Containment Equipment: sP111 )Ova va 600 /so aat, -e Waste Generator ID: D , Z-Y� Waste Product: of Date&Amount of Last Shipment/Frequency: �6 �''14Y1 cS�g vrLa�/4 lab e- 39eq 4. Licensed Waste Hauler&Destination: t&-A Other Waste Disposal Methods: C,(>[4 .ryv\6v-kk6 tg, 5Mee- -a-r LIST OF TOXIC AND HAZARDOUS MATERIALS ^^\\o a u l cln�v g �w Iv , fv I � vf��o�C�! S v�\a5-1- NOTE: Under the provisions of Ch. 111, Section 31, of the General Law of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. I 9 P 9 q Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, 1 hydrochloric acid, other acids) VIOLATIONS: 1`CeA4.-f- 'Nok og�c a 44 *14 h 4S-fs ✓10t LqL ,fJd2• 7 cl'ReQ o,>* oar S W, two�,k4 r eo uaM-� ORDERS: vta..vW �A MAkal,a_s 1, SA cw. oS1' o K. 5, Z. ,16 4 e%. 44,%JT s 1 K--5,,6- ASAP INFORMATION/RECOMMENDATIONS: V>v. 6L<WoJ5 �WkSA 1160 — A WaS ,,y D��� -I-�o�C►�, Inspector: l..a .Qi Facility Representative: AA WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date:/'/ !S / /3 TOWN OF BARNSTABLES TOXIC AND HAZARDOUS MATERIALS RgOtgEMM FORM NAME OF BUSINESS: C. A . cj%{yic e_s BUSINESS LOCATION: cF t E l�o�C�c-�C 1�� , �'} ya�� s INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: ,S-0$--7-7 t - I Sµ3 31Z?el/opts -►- CONTACT PERSON: I—alo 1 o so l bs EMERGENCY CONTACT TELEPHONE NUMBER: Gell j-p5 -y2y� MSDS ON SITE? 95 TYPE OF BUSINESS: JTb ►Mu��►�-��v�a•�c� 4�� e 4� r o INFORMATION / RECOMMENDATIONS: Fire District: 0 o S it cowti 6, 5L,nz,v141ti3) e b-F4 M jkeo ons,4 4ovlis O -}o e , a cg6oxa-11 a s - b6l' s)Mvs+ I?eco �a.s#� �vta�tr�es+s oK_s,fe f'o af'/�s�Sy�� 6) S2e (3elo� Waste Transportation: Last shipment of hazardous waste: Name of Hauler: a�O"1abl o' Ste"`°-' `""�'�¢-�'t Destination: ��. S`"u-'g "'� a 4y Licensed? Yes No Waste Product: ` �P.Ts� t �� � NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive L/ti NEW ❑ USED Cesspool cleaners Z Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Sall Refrigerants Motor Oils Pesticides 2q-1 NEW/2. L3 USEDz'V&'4"T' (insecticides, herbicides, rodenticides) 0�'tso dlrv+�+* Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) Z lubricants, gear oil ❑ NEW ❑ USED / Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible / Car wash detergents Leather dyes ! Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids I (dry cleaners) �� ec,Q & ciy ,gIvlt.c5 t,�1LK. 1,4D IvL V5e- Other cleaning solvents Bug and tar removers 9 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials��1-- Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES 41 BODICK ROAD, #E, HYANNIS, HA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------------------------------------- ---------------------------------------------------- ---------------------------------- -- ---------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ------------- ---------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r . h � Town of Barnstable oftAl tKKE Inspectional Services BAMSTABLE �MSTI.B!E•(.L'iiEii.1•:Q'UR•rRNIk,S Public Health Division �� ut3 G-214r.�� - E 9 BARNNS ABLE, Thomas McKean, Director 1639..i A`0 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES Y CATEGORY 1 PERMIT; 26— 110 Gallons: $ 50.00 El CATEGORY 2 PERMIT 111 -499-Gallons: $125.00 V CATEGORY 3 PERMIT 500 or more Gallons: $15pcl 0.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. I� 1. ASSESSOR'S MAP AND PARCEL NO. 3W7 Dyo `' DOf 2. IS THIS A PERMIT RENEWAL? 'Y YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS, INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: En hie sA- 5,,L,6 5. NAME OF ESTABLISHMENT: n' A110 V I Z I/1` e S 6. ADDRESS OF ESTABLISHMENT: L J•A hm ht 6A D76gA h 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: Ado le n11i*e e S 0�1A Vj Lly/11,1 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT FA h^ A em 104z TREASURER A,Q1t)r ,JL,/P, ,,CLERK 12: IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT 3cEbtp & DATE Q:\Application Forms\liaz Mat App Revised 09-10-18.docx Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 c� Regulatory Services Department « en tt�$rdOM Public Health Division \\ uAss. Thomas A.McKean,CHO 039. e`°� 200 Main Street, Hyannis, MA 02601 Fb µay Payment Receipt Hazardous Materials Payment received: $135.00 (Cash) on 7/8/2019 Permit number: 2019-2020 - i 3 Business: C.A.R. Auto Services ,Address: 41 BODICK ROAD, Hyannis f Note:.Category II Permit(plus $10 Late Fee) i i i • �J Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES _ 41 BODICK ROAD, #E, HYANNIS, MA a"17- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------- ----------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health TRg' of B nstable ev'IatorySemces ? Richard V. Scah,Director Public Health Division BARNSTABLE BARNffABM Thomas McKean Director ""'°� '"'�'"�'`$''"`='n""" " KAS& ) ic79-zoia 039. 200 Main Street,Hyannis,MA 02601 55 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT (RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ L CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 [I ��►'(. CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 344o g 0wc 2. IS THIS A PERMIT RENEWAL? l/ YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? V YES NO. 4. FULL NAME OF APPLICANT: ��17 r iI ye� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:: 8. TELEPHONE NUMBER OF ESTABLISHMENT: Sc7�1 l-I S l 9. EMAIL ADDRESS: CAECC(U�0 �Q Ul Le ®I►VC°eO 1h 10. SOLEOWNER: 'V YES IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT � DATE C:\Useis\Decollik\AppDatalLocal\Microsoft\Windows\Temporary Internet Files\Content.OutlookTMQD49H2\HAZMAT APP 2017 REVISED.docx Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES 41 BODICK ROAD, #E, HYANNIS,MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ------------------------------------------- ----- ------------- ----------------- ------------------------------------------------------- ----------------------------------------------------------- -------------------------------------------------------------------------- ------ This license is granted in conformity with the Statutes and ordinances relating there to,and �r and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health s Tow1� of B stable �' q93 Regulatory ervices P Richard V. Scah,Director "o Public Health Division BAMSTABLE FF B SIW11511•iFxf[RV'ILLE•[ONR•xt'nFt:15 �» &mmirABLE, Thomas McKeanKASS. ,Director NAR51��"'�;63'0 q"'5'a`'"5"B FE 200 Main Street,Hyannis,MA 02601 �g Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE rt� HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 10A3,i HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: - $ 50.00 ❑ CATEGORY 2 PERMIT' 111 —499 Gallons: $125.00 91 V S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?�S—NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 )GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: i�khi-b / V K do 5. NAME OF ESTABLISHMENT: Ca v C M Cd 6. ADDRESS OF ESTABLISHMENT: "h RodliK row U(4 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: f/YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: . COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT Aq&_ DATE C)6 6 6 QaApphcation Forms\RAZMAT APP 2017 REVISED.docx i Number Fee 1226 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Harbor Auto Services 41 F Bodick Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABL,E QF 111E nFrxsTae�•cEn�nhi _cenirt•rrauuis Public Health Division 1639-I014 r BMWgrABL4 Thomas McKean, Director 1639. ra4, ArFp�a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE C HAZARDOUS MATERIALS r IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, C.) HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ - _— CA TEGORY 2 PERMIT 11-1 —499 Gallons: $125.00 �" vw PA C� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. --tk 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?X YES_NO. IF YES,SKIP QUESTION 3. • 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: CL GVf0Gov1 5. NAME OF ESTABLISHMENT: ( hwbof ROVO C olyi'as 6. ADDRESS OF ESTABLISHMENT: G IV 00121 C K 39 W 4- 1Ah 0i 5 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 509 5-3 90 I n 9. EMAIL ADDRESS: C U —i Gp"A S(M�D ►L. C om 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TE PHONE#OF: CORPORATION NAME V Dfi wbs PRESIDENT TREASURER s ' CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS A EMAIL. SIGNATURE OF APPLICAN DATE Q:\Application Forms\Haz Mat Appli Draft Jan2019.docx Number Fee 1226 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Harbor Auto Services 41 F Bodick Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------------------------------------- ---------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health vv� k{ �toewgulatoryof B nstable ervices 1 Richard V. Scah, Director A Public Health Division BARNSTABLE : wwsraett. wrennue.torurt•nvanans ��' (= BARNBrABLE.A= Thomas McKean, Director lu MNS ILLS- R-Ji -MgSAFN5tAet 1N AS& 0 1639-2014 'M^` - — ArE-1o639• s -200:VainSe -H 02G01--et, , - �� ---------- -- - M Office: 508-862-4644 Fax: 508-790-6304 a APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE �4 HAZARDOUS MATERIALS ;{ IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, 4r5 HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 x v.S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by Jules 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? X YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: C Pt 2F lA A R QCA Ado 6. ADDRESS OF ESTABLISHMENT: I,�(�I 13 )D � C,k `R b O N 1 a 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: _� 6 � ' S -3 "� - 9 c) � O 9. EMAIL ADDRESS: .S C ,1 P1 10. SOLEOWNER:_�(,YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION/,NAME C$t7 QE k� l hL PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE Q:'Application Forms\HAZMAT APP 2017 REVISEadocx I Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES 41 BODICK ROAD, #E, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ------------------ This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health i Town of Barnstable Regulatory Services . Richard V. Scali,Director BARNtMAMWAB Public Health Division BARNSTABLE b 9, 0� 't `c+..+csuht•Yknm+YI:1E,.cm.;a•.mti Y(: �S� � mw5^a�sk�� sssxxc„z•a!;rau5u+.t v Thomas McKean Director 200 Main Street,Hyannis,MA 02601 s Office: 508-862-4644 U Fax: 508-790-6304 o F.. t� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). K APPLICATION FEES CATEGORY 1 PERMIT 26— 110.Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late char a of$10.00 will be assessed if payment is not received by Julv 1st. ASSESSORS MAP AND PARCEL NO. DATE aQl FULL NAME OF APPLICANT: Mu NAME OF ESTABLISHMENT: ��f'1•Y\ 4A JCI�V i ADDRESS OF ESTABLISHMENT: "' I (L� rOd�- 1-( 4YIn J MAILING ADDRESS (IF DIFFERENT): ) TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: YESIZ�O IF NO,NAME OF PARTNER: N&O S Va FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION N E �L PRESIDENT fly - /a TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SI TURE OF APPLICANT Name: Company Address Telephone#: l Email: r CATemp\HAZZAPP Revl6.docx Page 1 of 2 Number Fee 1226 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Harbor Auto Services 41 FBodickRoad, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019* JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health A �` I j(,r LIP- t Town of Barnstable �t Inspectional Services BABSTABLE , MRwvTAB!E•CBIfE.I::L•:O!UR•r!rANx' o Public Health Division 9'=o< • = $ Thomas McKean, Director Arec 39. 1. 200 Main Street, Hyannis,MA 02601 ' Office: 508-862-4644 Fax: 508-790-6304 , APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE Ca HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ® Wl- C� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ 22 1 *A late charge of$10.00 will be assessed if payment is not received by July 1st. M C 01 1. ASSESSOR'S AP AND PARCEL NO. - ©UU ` POD 2. IS THIS A PERMIT RENEWAL?_YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. r 4. FULL NAME OF APPLICANT: �� L� Z S 5. NAME OF ESTABLISHMENT: ( (�?1- [� �� �1 l \� f ,� o 6. ADDRESS OF ESTABLISHMENT: Tj `J�,C� C is V N i 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: - 5 :3 - 1 o 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS:' j:4 PE H (-k R B c) U-Fo S ER V LE 10.L k-0) G L -- Co-( 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: _ CORPORATION NAME_ N _ l C L= ty PRESIDENT -k i c) 1E �2-�Ss1 TREASURER CLERK NNE i � y0Nivk,5 i C>2 0 1 12. IF PREPARED BY OUTSIDE Y: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:Wpplication Forms\Haz Mat App Revised 09-10-18.docx P aeei A; _ Town Of Barnstable � 1��7 � Inspection-al Services B442,, 3UF �rr YN8 t Public Health Di-vision �� 3 YA 200 Main.street, H� mnds, i`aA. 02601 r� APPLICATION FOR PERMIT TO STORE AND/Wipe U ILIZE AZARDO S'��ATERI LS 114 AC;COIi.DANC.E VV'iTH THE TOWNI O;~'BARN- ST.^B 11,GENERAL 01 DI.-N AIxICE; CHAPTER 10S, 14AZAIZJDOUS MMMRIALS, ALL BUSINESSES THAT HANDI E OR STORE HAZA. DO U S MA"IT1.IUALS GREATER T i-IA.NTH OUSEHOLD QUAN-1 TIE S At �.REQUI-IRED TO OBTAIN AN ANNNU,i' .,PERAAM1 (rd)NS JULY Ist--JU E`06). APPLICATION FEES CAT EGOI:Y I. P1✓RMIrT, 26--- 11 a (sallams: 4 0' 0 C) CATEGORY 2 PT;R ,11 T 1.11 -499 Gallons: M C ' 11 C,A T`EGORY 3 PERNIIT :500 or pno're' Gailon.s. S;L50, 0 1I - *A late charge of S10. A11 be a,lesser f�pa,menT s not rL =`y Ld by July Is:. � �ASSESSO'WSMAP AND .. E Ly f�f 1 IS 'I IIIS A P1•RN1IT`R-ENI�WAL? ES___+__.NO. fl YES,SKIPUESTI01 3. tL si v - ^. -fj' 3 i 3. FOR ALL i�E�� PER.�.�'1 APPLICATIONS, '��HF�.�'1_,�13�USl:�tESS I-LA.S LONENG/13111LDING APPROVAL FOR HAZARDOUS MATERIALS STOI24iGEVUSE O 4. FULLe:ATYM. Off'APPLICANT: »�1 -.,T j f V NO 5. ~*MIME OF EST ABLIS 4IENI: z' 3 µ a_` `C F �I _ ' 6. r17).17R.r.SS OF EST:A1aI.,ISFz' E14T. _i.^ , ,,, �: "`• k � ,}.. ''¢ g���� .� 1. I TAME G ADDRESS (IF DIFFERENT ROPY1&iaOVE: S. zE.s.,,EP1- ONT NUMBER OIL E STABIJS1- NIENT• 9, AIL ADDRESS: l� < `>z. Its � � �� �� "'� �� � �� .N- TO 10. SOI,.,�O?�''N -,�'2: �E 9 i 0 NO,N, 1 .. S t` i s?.,. .; __........ .W._..._.-..w�._._.�_�.___.�. ......�.. _._.. .�, TREASURER CLEMK 12. IF'Pf.TARED BY OUT SITE PA WtY. NAME: ELEPHOINE COMPANY ADDRESS _— EMAIL: oil Cy\ApplicutiOnFOMIS IaZ rla,App :viseUC -IO-ii,d cx • xl Number Fee 1226 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Cape Harbor Auto Services 41 F Bodick Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ' Tow of hmstable -Regulatorvices �r r Richard V. Scah, Director "o Public Health Division WN TABLE ♦ tlARSiAtltE•iHr[EF`JILLE•[dNR•HYut:15 BARNBTABLE, wws:ues plus c+sr:avwt•rsr eA?xsrAu:E MASS. Thomas McKean, Director 1634�2R14 QED MPS a`0� 200 Main Street, Hyannis, MA 02601 -r Office: 508-862-4644 Fax: 908-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 - CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? Y, YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: WAV b0Y ROTO J 61Vo(A,) 6. ADDRESS OF ESTABLISHMENT: 4Boot(—\,4, PD °j gym -5 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 509 534 9010 9. EMAIL ADDRESS: C i 1R),0 CA mWk L ,C�-n 10. SOLEOWNER:X_YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN ADATE Q:Wpplication FormsUTAZMAT APP 2017 REVI D.docx IQ ` !t Number Fee 1226 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Cape Harbor Auto Services i 41 F Bodick Road, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 06/30/2016 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health f Town of Barnstable �t Regulatory Services Richard V. Scali, Director eAR1iASS. Public Health Division M5O8-790-6304 E 163q. `0� e�Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 04 y APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). �t- APPLICATION FEES `� 1 D LDPew a � CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 �!L + CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ �= CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT:C�Wky-Q�1o�1 V- 'Rabw j G J65 NAME OF ESTABLISHMENT: CAR WV CJ01 6010 ' ' (56f M'6'G ADDRESS OF ESTABLISHMENT: G(1 ptj G�<' rt Moyy) -115- L -iA 6Q MAILING ADDRESS (IF DIFFERENT): 91� UYab!E�kT Ly1 ( q(Ar)hi& MA OV6o) TELEPHONE NUMBER OF ESTABLISHMENT: '5 l9 J I-3 4 1 EMAIL ADDRESS: Cd IR 1-0 GVA,,t) SOLE OWNER: ILYES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER f CLERK . IF PREPARED BY OUTSIDE PARTY: SI ATURE OF PPCANT Name: UWA Company Address Telephone#: Email: Q\Application Forms\HAZ,ZAPP Revl6.docx Page 1 of 2 F, Q - Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department anttd3ra Public Health Division Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt .Hazardous Materials Payment received: $60.00 (Cash) on 5/27/2016 I Business: Cape Harbor Auto Services Owner: Cleverson Rodrigues !Address: 41 BODICK ROAD, Hyannis j i Note: $10.00 Pro Rate + $50 2016/17 Category I j - ------ I r Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES 41 BODICK ROAD, #E, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable °FIRE Tp Regulatory.Services ti Richard V. Scali, Director t MARNSTA t MASS.� ' Public Health Division °Ten 39. Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Z112041 NAME OF ESTABLISHMENT eqX Wl/ ? ADDRESS OF ESTABLISHMENT & //X/// E TELEPHONE NUMBER SOLE OWNER:YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK NA OF APPLICANT RESTRICTIONS: HOME ADDRESS ZZ' e;� � /x1J��l/rl/�AW/ AD/ HOME TELEPHONE# Q\Application FormMAZAPP.DOC Number Fee 1085 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES 41EB0DICKR0AD, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 'J Town of Barnstable ofIHE Regulatory SenicES °-* Thomas F. Geiler,Director 3 } -; AARMSS.SAY.k', i Public Health Division . ?F�nacy Thomas McKean Director 200 Main Street, Hyannis, MA 02601 Ofnce: 508462-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO, DATE APPLICATIONMORE THAN FOR PERMIT TO STORE III)/OR t7'TTT,7�,�+', III GALLONS OF HAZARDOUS MATERIALS FULL NANSE OF APPLICANT F,s�B/d SiCy.� NAB OF ESTABLISIEYfENT ADDRESS OF ESTABL SIIN= W E eeWW AP TELEPHONE NU 3ER © a o SOLE OWNER.- ✓r YES NO � ,=r o IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL w PARTNERS: . M IF APPLICANT IS A CORPORATION: FEDERAL IDEI-=CATION NO. STATE OF INCORPORATION yIA YULL NAME AND EOMI ADDRESS OF: PRESIDENTIn TREASURER. o CU,F,RK o 777 GNA F APPLICANT RESTRICTIONS:. HOME ADDRESnt �- HOME TELEPHONE # ?Iazdochvp/q ## HAZARDOUS MATERIALS CONTIGENCY PLAN ## WASTE MATERIAL MOBILE OIL CADDY (10GL) MAIN WASTE OIL DRUM MATERIALTANK (30 GL) (80GL) OVER(110 GL) WASTE OIL WESTERN OIL, BURNER INC (800) 240-5540 r • IN CASE OF SPILL; USE SPILL KIT(PIG) LOCATED ON LEFT HAND SIDE OF MAIN TANK(80GL) Town of Barnstable oFtHE r°,,, Regulatory Services ti Richard V. Scali, Director t BARNS iL t 9 MASS. Public Health Division AlFOMA'�p Thomas McKean Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. W � !A DATEZZIAPPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT v NAME OF ESTABLISHMENT 'C i'l.C, �✓ e ADDRESS OF ESTABLISHMENT ����� TELEPHONE NUMBER / V SOLE OWNER:YYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.- STATE OF INCORPORATION ,k� 74 FULL NAME AND HOME ADD S O I/ PRESIDENT G -� /�� ib( W IA� e e}l lo"Ai TREASURER CLERK SIGNATURE OF' PPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# J: iAZAPP.DOC i Number Fee 1085t THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that C.A.R. AUTO SERVICES 41E BODICK ROAD, HYANNIS,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------- ------------ ------------------------------------- ----- ----------------- -- ----------- ....- ----------.--------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI -,. —THOMAS A. MCKEAN,R.S.,CHO Director of Public Health R I Town of Barnstable �pp1HE r0 Regulatory Services. Thomas F. Geiler, Director • BA LE,MASS. : Public Health Division y MASS. ATF0M A, Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office.: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT _��/\ �UfQ �j(9V1LL�jI ADDRESS OF ESTABLISHMENT . TELEPHONE NUMBER ) 771 /5 y� SOLE OWNER: X YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. SEP 2 REC, D : Lv STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT • RESTRICTIONS: HOME ADDRESS ZZjTjij/Q(/�f� HOME TELEPHONE # Haz.docA+p'y TOWN OF BARNSTABLE BAR -W00� Ordinance or Regulation WARNING NOTICE Name of Offender/Manager .Address of Offender MV/MB Reg. # Village/State/Zip �} Business Name C.. t1< d,c,6s 7 / m°/pm;. on,� � 2019 Business Address 60 `C-�c r\ Signature of Enforcing Officer � / ►�✓I t 2 fit? _ Village/State/Zip . � s ��'f Chi Location of Offense C. Yft T�'` � tJ t G Ile, Enforcing Dept/Division Offense x < s�r,� x`f�i���; r��Ji y �� � 1'�<�� ;� �(-2_;4 x_ 144,I-vt. (� �r�W►1 � {tab < b . Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE -OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. TOWN OF BARNSTABLE �QO,� Ordinance or Regulation BAR -W WARNING NOTICE _ Name of Offender/Manager d u Adress of Offender MV/MB Reg. _ - Village/State/Zip - Business Name ram/pm;, on,�?�r6 20 )8 r am Business Address 14155 ^� 'G Signature of E-nforcing Officer Village/State/Zip 'i I l Location of Offense t - 4 Enforcing Dept/Division 4 r Offense s azr�� : : � ;Nr; - �r , ►r : 1f'tr � wt. too" � Facts �vt- �+ r �f'� ; r'rL; Ve, t i This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies-to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance.. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. t TOWN OF BARNSTABLE BAR-w Ordinance or Regulation WARNING NOTICE Name of Offender/Manager 144- �Ie'A-CeI S Address of Offender MV/MB Reg.# Village/State/Zip (� Business Name f}��fG�tl �X / �J<' ✓1C �� ' am%pm; on /1))!> 20 r Business Address q, ,64j, t �1 i a ,^ � Signature'.of` Enfor-.cing Officer Village/State/Zip Owf ooi s, r' ►a Cfi 2. --o! Location of Offense A y4vl� / Enforcing Dept/Division Offense .�-- o ,.i +n Vrt 1,,, '!= L.. -A w,5c +K ,i te,^r Facts C11/4 This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-w 1.%77- Ordinance or Regulation WARNING NOTICE Name of Offender/Manager { w .k Address of Offender MV/MB Reg.# Village/State/Zip 1) Business Name . am/pm, on 11�1; ' 20 Business Address q, Signature .of Enforcing Officer Village/State/Zip '/ ", ' at t � f jj Location of Offense L Enforcing Dept/Division Offense f, a. ✓ t4+ ' ; 'i - . z` �° B. Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORDIREG.-PROG. PINK-i ENFORCING OFFICE GOLD-ENFORCING DEPT. NAME OF OFFENDEfl--_ � --]BAR eA 1 /P'rt�'�Ir I BAR TOWN OF ADDRESSOFOFFENQER 1 r t" A t/P.r V f f 61411 c�C.`/? �f v a t' / BARNSTABLE CITY,STATE,ZIP CO ' `�tNE►D�� MV/MB bEGISTFIAT16N NUMBER OFFENSE r NARNSIAOLE. ' tt L y�y r� t LIJ Muss. 8 (C1N`-1 7�� D 1t/! t"" _ rjt�Gk'f.' lr'�t P" 1�ftF4zv" , ff!7vt. a rJ l'C't. 1t dC CL 26}A �� , / 0... QED 1AKt I j VV A�c � t � �1" 1 e( Viz 4, 1 4 I t(—z > TIME AND DATE OF VIOLATII _ LOCATION OF VIOLATION ,.. W NOTICE OF try /(Aky P.M.)ON �I t"f 20 f b 4 a 0 e VIOLATION SIGNATURE OFE IfCINL'PE ENFORCING DEPT. BADGE NO. LU e t o OF TOWN I HEREBY ACKNOWLEDr RECEIPT OF CITATION X a ORDINANCE -9 Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S*775,po W Date mailed 2 LLI OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION � (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or posts note to Barnstable Clerk,P.O.Box 2430, d Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,yyou mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ `� Signature - - _ _ � .�.'�--R"'v� �'„'.r�►" l�'..-'�..- -r.i� a.� d. .e a. �:z.�i*-;:.,. ,...... ....+..c...__:r :<�n.._;b� ...r�..:+�r'�'a"'�F TOWN OF BARNSTABLE0 57 Ordinance or Regulation BAR -W SO WARNING NOTICE Name of Offender/Manager Address of.Offender MV/MB Reg. #_ i Village/State/Zip Business Name vace � ��' � �� am/'p on 20 11 ,� /l 'D Business Address bo #cK RDd� / y Signature of Enforcing Officer Village/State/Zip kuo)'5/Ack O O! Location of Offense A Uyain(o bo�g Science PE,t1�t { Enforcing Dept/Division Offense \1i0E0-14() 0k +Qwn (oh 10R-6lf tiCel1Se eul' CoA41114n(I Plall a Facts �.ne5 OLJOft s5 000A � 500 401100S 0f bl)Z&((IOUS t'r1C+frjit1( Wl' UuV '+U � ��C�(1Sint .SU�Jtt � CL961CGAm), CC t I'©1 IaR �e2 �R6e 61 14A an 6e 5610;ec1- 40 Mies This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to. gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE � , Ordinance or Regulation BAR -W WARNING NOTICE Name of Offender/Manager �tC1C�E c ( ti�� _Address of Offender MV/MB Reg. # . i Village/State/Zip Business Name Nyaoce� bo&ksc"t y 2� t1 am/pm; on 0507 20aj — Business Address f1Gd� r "Si nature of Enforcing Officer g 9 .. Village/State/ZipG' 11►�i(��� 1 (� Location of Offense k yan(0 boLlq Sc lejl(e 'tT� j Enforcing Dept/Division !t/i Offense Y0l10-\ M i0vil (uh 10_ f{`C C 1k 05t: all t4"4100(q Pk,) ) Facts }A61465 Owl-er 15 Avt idtk < 5()G 0:6R1l01� I�uZ � v� ))arr'alf W, 1'c t f 5q ,.SAN of),alki' 1,�ee , 10 ' r 6(ore iuik IfA-C un 6e 566;4 4c, -i,XS s This will serve only as a warning. At this time no legal action has been taken. It is the.goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning.notices are attempts to gain voluntary.compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFER GOLD-ENFORCING DEPT. I03/14/2006 15:51 5087786448 HYANNIS FIRE PAGE 01 HYANNIS FIRE DEPARTMENT HYRN 95 HIGH SCHOOL RD. EXT. HYANNIS, MA.02601 ; HAROLD S. 'VE BRUNELLE CHIEF S �REDEppg[MT�� � sTooeeraw�paness ar r ae eoUutioe FIRE PREVENTION BUREAU BUSINESS PHONE:(508)775-1300 FACSIMILE PHONE: (508)778-6U8 LT. DONALD H.CHASE,JR., CFI LT.ERIC F.HUBLER,CFI FIRE PREVENTION OFFICER FIRE PREVENTION OFFICER FACSIMILE TRANSMITTAL SHEET THIS FAX IS GOING TO: THIS FAX IS BEING SENT BY: SUBJECT OF THIS FAX: . ... r........... . . . .............. ......... FD, TE: FAX NUMBER: NUMBER OF PAGES: . ......... .............. .................... (INCIUbES COVER) NOTES: ....................... ... . ... .,lr. ... . ... .............. . .. .,. .. .................................. ... ./ �. .. ....... . . ...�.l.. . ... moo.. c�� .,..... ........ . .................. ................ ................ ............ ...... .� 03/14/2006 15:51 5087786448 HYANNIS FIRE PAGE 02 0 DIMENSIONS Tank Removed From � ----- - ------------- Width Length (no. _street) .. • Tank 1 ----- X --- -- Tank 2 ----- X --__- (city or town) Tank 3 ----- X ----- ' Fire Department Permit # ---- ------------------- Tank 4 ----- X ---- Of pplicable) Tank• 5 ----- X ----- (feet) (feet) ;STD •,".DRESS JwE5 G. GRANT f ., INC., air• �; 8 LC TT•�T. :APPROYDp,N�C;YARA _ ....-... _ - -7. A PROyED`.":TANK "YAR ";NO:" C a Tank Y rd Ledger502,CMR'3:'03(4) Nutobe ;I. 5ettf t Erc„pellalt4 _ k; f:law � II�N@.pese�onally exafiined tl'YB �; I �72Q�{��y� t0 ttlie � gird- � 80�1�foe W1 6aQt1LU2t�B F1SE�.�LeV�I and aceepesd.`9ad�e i�yulat 502 3.00 PrwiaiOhi for App=ovin9 1k�dexgzvurd Steel 4S, �nantlir�g Yazdg• „ t EDm� A'V" permit vas issued LOCAL Head of,Fite Departm®n to.by °I`rrr this•tank to this yard.. ,:.'.,. ; ;!' .. Name and.official title of ,*Proved rank yard 0418-7,or ?wners autbbrized mpresntative: SII " T LE T s� o sposal Host be returned to the Local head of the fire departmes?t �� avant to CM s O- FXM 7%M KW HAVE A I�EIYP DIS L) FORM F.P. Y91 (rev. 9/88) (aVF9tI �9�� 8'MM nN MUMAL!S O FM 03/14/2006 15:51 5087786448 HYANNIS FIRE PAGE 03 HYANNIS r4ill E DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02001 BUSINESS: 776-1300 oN�ar $ilZd/e Oetecton, Save ,eived EMERGENCY: ��g-232-3 PERMIT FOR; FOR REMOVAL AND TRANSPORTATION OF .STORAGE TANKS FDID NUMBER 01922 DATE OF APPLICATION SC-�D�D PIiONE. PROPERTY OCCUPIED BY . LOCATION : PHONE PROPERTY OW14EKSC`vnr>c IvLC� . I TANKS TO.#BE REMOVED RS SHALL BY INE BY THE USE OF D a RY ICE AT 1. 51bs Per 100 a1. ALL TAN __ .�. QUANITY SIZE (GALLONS) FORMER PRODUC STORED i PHONE Pi PROJECT SUPERVISOR � � r COMPANY NAME ANC �r r'�'� 1...:n l ADDRESS• ►� ►nr�h Er_ PHONE -EXCAVATION COMPANY ADDRESS : START DATE DIG-SAFE NUMBER COMPANY REMOVING USABLE PRODUCT `FROM THE TANK(S) PHONE NAME I f ADDRESS: STE COMPANY CLEANING THE TANK(S) AND REMOVING THE HAZARDOUS PHONE NAME NK ADDRESS : D y/ EXPIRES LICENSE NUMBER: D•E•Q•E• . MANIFEST NUMBER: COMPANY TRANSPORTING THE TANK(S) . PHONE 7,(a( 42 NAME: ADPRES S: THE TANKS SHALL BE -TRANSPQRx,FiD/�0'�' �Q� PHONE YARD NAME 2 // ADDRESS MASS. FIRE MARSHAL' S APPROVAL NUMBER DEPART14ENT USE ON Z� 5t_.� yCti HYANNIS FIRE DATE OF ISSUANCE HAZARDS- t�IgD/T ;SEE. LEAK REP DATE OF EXPIRATION REMO�A .,1714 SSED -' NO HAZ �� Y/7. iva M.•- .,m�io•I& v FIYANN•r :-D. OFFIC 03/14/2006 15:51 5087786448 HYANNIS FIRE PAGE 04 HYANNIS FIRE, DEPARTML-NT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS. MASS. 02601 Paul D. Chisholm .Si1ZOfte O�teCtl7Cd SQVC �cvea BUSINESS: 773.1300 CHIEF EMERGENCY: 775-2323 To ; Town of Barnstable, Board of Health - T. McKean Town of Barnstable, Conservation Commission - From ; Fire Preventio Bureau, Hyannis Fire Department Subject The install tion of above ground storage tanks . Date 9/28/90 7 P suant the applicable sections of 527 CMR - Fire Prevention egulations , this Department has inspected the following location for above ground storage. ADDRESS : 49 Ferndoc Street OWNER/OCCUPANT : SCUDDER & TAYLOR PHONE 775-0474 TANKS SIZE OF TANK(S) 2 - 330 gallon / Steel / OUTSIDE ON CEMENT PAD COMMODITY STORED 2 fuel oil PWOU FOR STORAGE : Heating THIS INSTALLATION IS : PRE-EXISTING A REPLACEMENT X (REPLACES UNDERGROL NEW TANR REMOVED 9/90) This installation complies ✓/ does not comply with the required installation regulation listed below. FIRE PREVENTION OFFICE For: PAUL D. CHISHOLM, CHIEF HYANNIS FIRE DEPARTMENT 03/14/2006 15:51 5087786448 HYANNIS FIRE PAGE 05 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS V n IASSESSORS MAP NO. r PARCEL NO. 1 � Lk FeitF1� V ILLAGE: PERSON ✓ N S V Lt k V A;J PHONE NUMBER '7"7 Pj O 4 OF TANKS: CAPACITY: ; ..TYPE OF FUEL, AGE: TYPE: L OR CHEMICAL: DI sY 4� %4 w A5 tom` i> 'URCHASE OF. EACH: 1. 2. 3. 4. 5. TIRE DEPARTMENT PERMIT: :ERTIFICATION SUBMITTED: PASSED DID NOT PAS; TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: 6W ^ L,nv Qj &- f1 `r (���� II To: '`Board of Health MAILING ADDRESS: Re r I Town of Barnstable TELEPHONE NUMBER. r"l P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO�.�"' This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following.products exhibit toxic or hazardous characteristics and must be registered when stored Please.put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages _Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, va #es, s# ts,. sAll Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish'removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business i w TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair SatisfaCto 2.Printers B OARD O HEALTH 'y 3.Auto Body Shops t unsatisfactory- 4.Manufacturers COMPANY ! (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 4. Class: 7.Miscellaneous UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATER S Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers vuoe Miscellaneous: DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply AV IVAWA � -��44 fib 19 � _ .$ O Town Sewer Public O On-site Private ew 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well r`7 O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Int rviewed Inspector Date / TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: &:LaZ& Board of Health MAILING ADDRESS: 49 KZ� Town of Barnstable TELEPHONE NUMBER: 'l'1 �— �`�` 3 P.O. Box 534 CONTACT PERSON: ;s,�. iQ �1�C� S Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored ia4qml1;j0jj1ji&*W No Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) V Paint & lacquer thinners PCB's �✓ Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business r 'i of TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- ' 4.Manufacturers COMPANYlS % �,�..2� (see"Orders") 5.Retail Stores //// y �i�lj 6.Fuel Suppliers �ADDRESS �' Ps G.I� �fy c/Y Class: 7.Miscellaneous �' /r'eP4QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) I new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRE(;LAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer ublic O On-site Z OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. o ... 2. '� ----Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: d Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallonsliquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored ' - Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants kerosene, oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, Fertilizers (if stored outdoors) l Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): / (dry cleaners) r/ Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores !1 6.Fuel Suppliers ADDRESS � el ��� Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) , Kerosene ) f Heavy Oils: waste motor oil (C) new motor oil (C) �7transmiss on/ta Synthetic Organics: degreasers Miscellaneous: } DISPOSAURECLAMAT O REMARKS: 1. Sanitary Sewage 2. Water Supply le O Town Sewer ,Public �r Q l ✓ C.J o� � .rL� �is r� O On-site OPrivate _ 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. P s nterviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: aU/ ,Q, CLicrno/�/ C�n�¢ Co.� •Z�/�C, �j MAILING ADDRESS: "� ` " GJo lcl TELEPHONE NUMBER: 775� 3��"% (l� ji CONTACT PERSON: 1'9141110, C'l-rcrno�/er Does your, firm store any of--the :toxic or--hazardous- mat-erials. -listed .be—ow, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES ✓ NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your .mailing address: ADDRESS: Ala TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems)w Refrigerants k Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides), Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro— Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers !Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning flu'd� E ' E ® toxic or hazardous (please (dry cleaners) list) ' Other cleaning solvents HEALTH DEPT. Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners MAY 2 0 1981 Disinfectants Road Salt (Halite) TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: �� �� GIs Board of Health MAILING ADDRESS: � ¢�h`� Town of Barnstable TELEPHONE NUMBER: —7-7 P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua (ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered v Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners � Hydraulic fluid (including brake fluid) Disinfectants L--' Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business A TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory BOARD OF HEALTH 2.Printers3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY ��� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS / 6 4 Class: 7.Miscellaneous * '�j(jUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) Z 1/ transmission/h draulic / Synthetic Organics: degreasers w v Miscellaneous: a4 W-;QA "- Allf 711, DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer i Public �On-site _ x . .OPrivate 3. Indoor Floor Drains YES N0'll .f O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORD RS. Q Holding tank:MDC -441 Catch basin/Dry well, -� O On-site,-system 5.Waste Transporter Name of Hauler Destination Waste Product 2.h NkJ P rso s) Interviewed Inspector Datb 101i 1q, NAlIE OF PROSPECTIVE BUSINESS: C & C . Auto Sports TYPE OF BUSINESS Automobile Repair .11 ADDRESS OF BUSINESS: 41 D Bodick Road Han is MA 02601 (Owner please fill in above and then proceed to the following offices) PARCEL NUMBER Map 344, Par. 80-1 (You can get this from your tax bill or the assessors' office) . TO ALL HEW BIISMSS OWAERB If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and regulations . of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office (1st floor - Town Hall) . 1. Go to the Licensing Authority office (3rd Floor School Adm. Building) This individual has .been informed of any licensing rt4Lin tp this business. (Licensinc regnirements that w311 �e Authority signature: 2. Go to the Building InspectOr's office (4th Floor Town Hall) This individual is in-)pomplianae,4nd has permission to start a business ate_ _ (business address) . _?di n Ynspector's �Bl*_ signature) If your business has anything 'to do with food, lodging (bed and breakfast) , farm produce, automotive repair, hazardous waste materials (dry cleaning etc. ) , or animals you mast go to the Board of Health.. If your business has nothing to do with any of the above. . .take this form to the Town Clerk's office now and you can- got a business certificate. If it pertains to any of the above proceed to the third floor of the Town Hall to the Board of Health office. 3 . This * ' 'v'dual is6 in compliance and has permission to i a usine t at /the above address. (Board of Health - Inspector's t e) :f your business is a bed and breakfast or has anything to do with food, _iquor or junk, your last stop before the Town Clerk's office is the Tows tanager's office (second floor Town Hall) . This individual is in compliance and has permission to get a business certificate. (Town Manager's office) nce this form is complete you can be issued a business certificate. This orm will be filed with the Town-Clerk's Office. s Sept. 30 ,1992 Town Of Barnstable Hyannis, Ma. To Whom It May Concern: This is to verify that Jon Viera has occupied rental space, from me, at 41 Bodick Rd. Hyannis since August 1989 . Please feel free to call if I can be of any further help. Sincerly Andrew Popovich TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: C P ��0� Board of Health MAILING ADDRESS: 4 D MDICL RD L4Y4 02-&Of Town of Barnstable TELEPHONE NUMBER: `Igo-3g8© P.O. Box 534 �-7-- CONTACT PERSON: �10k)AT�-4AAj VIeLA Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: SAME TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic,soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids - be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers (Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: F (I70O5 Board of Health MAILING ADDRESS: ' D k b1cr—_ 2D WA 0:2&01 Town of Barnstable TELEPHONE NUMBER: `7qO--30F0 P.O. Box 534 C�,UA _ Hyannis, MA 02601 CONTACT PERSON. T� Ak-) ! rA Does your-firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. } If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: SAr4 TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallonsliquid volume or 25 pounds dry weight. Please put a check beside each product that you store: yj Antifreeze (for gasoline or coolant systems) Drain cleaners (Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners F`r GH Hydraulic fluid (including brake fluid) Disinfectants V Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) I Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous(please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business WN OF [3ARNSTAC3L� COMPLIANCE: CLASS: �. Marine,Gas Stations.,Re pal.r a isfacto 2. Printers Q OA R > Fft' � 1 .3. • nnut o P•ody Shops unsatisfactor - 4. Ffanufscturers IMPANY �� �>C-t (see"Ord rs") S. Retail Stores 6. Fuel Suppliers [PRESS Class: 7. Miscellaneous / QUANTITIES AND STORAGB (IN-indoors; OU1'=outdoors) JOR MATERIALS u ` � Case lots Drums * AbvveTanks Underground Tanks 1�� UI' R 6 �e Mons a Lest 1 Fuels: --- — •, SZlX,Z ,. Gasoline, Jet Fuel. (A) �Diesel,' Kerosene, 82 (B) ; I heavy Oils: : i waste motor oil •. (C) .� new motor oil (C) transmission/It c , synthetic.,Organics,c: ti degrC cr • . '� iscellan4s'. w�`'4�vl' ; ! I j r i j PU A`7RE-C'TaIF�JCIIUt RUV . ,Sanitary Sewage. 2. Water upply 8'"�� ��-'tom-, r� •/ P ` v 1,34 Sewer Public r +� 2 /°d� On site Q Private i�i , A/V)L_ ,Indoor Floor Drains: YES 1140 O holding tank: MUC O Catchbasin/Pry well On-site system i:DE Outdoor Surface drains:YES No 1 • HuldinL tank: MUC - .� O Catch basin/Dry well On-site system ii �` J_� r,•1: �. U- Waste Transpo 09 tt � TO Llcesedt as a �; •. .5 T TOWN OF BARNSTABLE CF?HE p0 OFFICE OF 13ARNSTA s BOARD OF. HEALTH MAS& 367 MAIN STREET 1639. �HYANNIS MASS. 02601 NAY k' January 10, 1989 Mr. James Grace & Mr. Paul Ritzman Cape Dairy Products 44 Bodick Road Hyannis , MA 02601 Dear Mr. Grace & Mr. Ritzman: A building permit was issued on April 7 , 1981 for Lot 4- B, 44 Bodick Road, Hyannis owned by you and known as Cape Dairy Products . This permit was issued for the purpose of constructing an office and storage space only. Donna Miorandi, Health Inspector for the Town of Barnstable, observed truck repair activities during recent routine inspeuLiuns performed inside the building. Hazardous materials , including oil, were present on the ground inside as well as outside the building due to vehicle maintenance, repair and accidental spillage from the trucks . Accidental spills and discharges of petroleum products and other toxic and hazardous materials have contaminated the groundwater quality and water resources on Cape Cod posing potential public health and safety hazards to the affected community. Cape Dairy Products is located in the most critical of areas with regard to our public supply wells . Due to this condition, you are hereby directed to cease and desist any washing, service, and repair of the vehicles on site upon receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice . If you have any further questions please feel free to contact Donna Miorandi or myself at 775-1120, Extension 183 . Sincerely yours , Thomas A. McKean Director of Public Health '